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PYODERMA GANGRENOSUM ASSOCIATED WITH HIDRADENITIS SUPURATIVA – A RARE BUT WELL ...

Massa, António Fernandes; Borges da Costa, Jorge; Filipe, Paulo; Marques, Manuel Sacramento

Pyoderma gangrenosum (PG) and hidradenitis suppurativa (HS) are inflammatory diseases of unknown aetiology, which association is rare but well established. We describe the case of a 27-year-old female patient, with axillary and inguinal hidradenitis supurativa lesions since four years ago who developed a pyoderma gangrenosum lesion in her right leg. Treatment was instituted with systemic corticosteroids in inpa...


SKIN CANCER AWARENESS AND PHOTOPROTECTION KNOWLEDGE AMONG RENAL TRANSPLANT RECI...

Borges-Costa, João; Travassos, Ana Rita; Vasconcelos, Pedro; Guerra, José; Santana, Alice; Weigert, André; Marques, Manuel Sacramento

Introduction: Organ transplanted recipients have higher risk of skin cancer, and cumulative exposure to ultraviolet radiation is the most important risk factor. The objectives of this study were to assess photoprotection beha- vior and skin cancer awareness. Methods: A questionnaire-based study of kidney transplant recipients who were obser- ved for the first time between July of 2010 and December of 2011. A 5%...


RELAXING INCISIONS FOR SURGICAL RECONSTRUCTION OF LARGE SCALP DEFECTS

Pacheco, David; Travassos, Ana Rita; Fraga, Ana; André, Marisa; Soares, Rui Oliveira; Marques, Manuel Sacramento

91- year-old, Caucasian male patient, with a 35x40mm tumor, located in the right parietal region. Due to de dimension of the defects, primary closure was not able to accomplish, parallel relaxing incisions to the surgical defect was an option for reconstruction. Relaxing incisions to correct large defects of the scalp was proposed as an alternative and effective technique that avoids the execution of complex fl...


TRIANGULAR SKIN GRAFT OF THE NOSE BY ANATOMICAL CONTIGUITY

Pacheco, David; Garcia, Carlos; Travassos, Ana Rita; Filipe, Paulo; Marques, Manuel Sacramento

Reconstruction of large nasal defects, represents a challenge for Dermatologic Surgeon. We present a 87-year-old patient, with a large dimension squamous cell carcinoma, 3x2cm in the dorsum and the root of the nose. The surgical defect had a triangular shape. The realization of a flap conditioned a great movement of tissue and time- -consuming surgery. Due to the patient co-morbidities, was performed a total sk...


RECURRENT NEVUS – A 5-YEAR REVIEW

Maio, Paula; Antunes, Joana; Pacheco, David; de Almeida, Luís Soares; Marques, Manuel Sacramento

The development of a melanocytic lesion at the site where it had been previously excised can place clini- cally and histologically some problems because of the differential diagnosis with melanoma, named by some authors as 'pseudomelanoma. In this study, the authors intend to carry out a comparative analysis between the clinical and the pathologic features of recurrent nevi and primary melanocytic lesions.KEYWO...


GENITAL ULCERS IN FEMALE ADOLESCENTS - DIFFERENTIAL DIAGNOSIS

Travassos, Ana Rita; Antunes, Joana; Pacheco, David; da Costa, João Borges; Filipe, Paulo; Marques, Manuel Sacramento

Introduction: Genital aphtosis is the most frequent cause of non-infectious vulvar ulceration, usually associated to oral aphtosis and it is always an exclusion diagnosis. We present three cases of genital ulcer in female adolescents, observed in our Dermatology clinic. Case 1: A 17-year-old-girl, with past history of oral aphtosis, was referred to our clinic with a genital ulcer, fever, asthenia and myalgia. C...


PROZONE PHENOMENON IN SECONDARY SYPHILIS. THE IMPORTANCE OF COMMUNICATION BETWE...

Vasconcelos, Pedro; Fraga, Ana; da Costa, João Borges; Filipe, Paulo; de Almeida, Luís Soares; Marques, Manuel Sacramento

The prozone phenomenon is defined as a falsely negative test due to very high titters of antibody, as high titters of antigen or antibody may prevent the formation of antigen-antibody complexes in laboratory tests of many diseases, like syphilis or brucellosis. We describe the case of a 27 year old caucasian male admitted in the emergency room with enlarged palpable lymph nodes and a skin eruption either sugges...


PATIENT SAFETY IN MELANOMA SURGERY

Borges-Costa, João; de Almeida, Luís Soares; Fernandes, Isabel; Fortes, Elias; Marques, Manuel Sacramento

Introduction: patient safety is a growing concern in healthcare management. The main objectives of our work were the detection of potentially avoidable errors in the treatment of patients with melanoma and search for solutions to improve patient safety. Material and methods: FMEA (Failure Mode and Effect Analysis) was used for analysis of the potentially avoidable errors in melanoma surgery. Results: Failure to...


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